MID AMERICA CLINICAL LABORATORIES, LLC (NPI# 1659796555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659796555 |
| Entity Type | Organization |
| Organization Name | MID AMERICA CLINICAL LABORATORIES, LLC |
| Practice Address |
301 Henry St North Vernon IN 47265-1030 |
| Mailing Address |
2560 N Shadeland Ave Indianapolis IN 46219-1705 |
| Practice Telephone | 8123524270 |
| Practice Fax Number | 8123524202 |
| Mailing Telephone | 3178031010 |
| Mailing Fax Number | 3178030186 |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |
| Authorized Official Name | MS. DIANNE Z. VANNESS (CEO/GENERAL MANAGER) |
| Authorized Official Telephone | 3178031010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 15D0686555 | IN | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CLIA | 15D0686555 | 01 |
| IN | CAP | 7524362 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104885052 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 1950 W 86th St, Suite 100, Indianapolis, IN 46260-2076 | 2006-03-20 |
| 1467866251 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 10580 N Meridian St, Indianapolis, IN 46290-1028 | 2014-06-19 |
| 1699189704 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2014-06-17 |
| 1326451113 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 911 N Shelby St, Salem, IN 47167-2304 | 2014-06-09 |
| 1336552587 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 2015 Jackson St, Anderson, IN 46016-4337 | 2014-06-05 |
| 1023421310 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 1206 E National Ave, Brazil, IN 47834-2718 | 2014-06-04 |
| 1669885950 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 1600 23rd St, Bedford, IN 47421-4704 | 2014-06-04 |
| 1477966760 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 1331 S A St, Elwood, IN 46036-1942 | 2014-06-04 |
| 1477966778 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 412 N Monroe St, Williamsport, IN 47993-1049 | 2014-06-04 |
| 1831502129 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 3700 Washington Ave, Evansville, IN 47714-0542 | 2014-06-04 |
| Street Address |
301 HENRY ST |
| City | NORTH VERNON |
| State | IN |
| Zip Code | 47265-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659368629 | Stephanie M Johnson | Emergency Medicine | 301 Henry St, North Vernon, IN 47265-1030 | 2005-10-04 |
| 1578918918 | Chelsea Faith Dugle | Physician Assistant | 301 Henry St, North Vernon, IN 47265-1030 | 2016-05-03 |
| 1265802409 | Katherine Conover | Nurse Practitioner | 301 Henry St, North Vernon, IN 47265-1030 | 2015-09-30 |
| 1821493347 | Bradley Stephens | Nurse Practitioner | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2014-10-27 |
| 1194159426 | Indiana Emergency Physicians, LLP | Emergency Medicine | 301 Henry St, North Vernon, IN 47265-1030 | 2013-08-22 |
| 1093158925 | Shelley L Clark | Nurse Practitioner | 301 Henry St, North Vernon, IN 47265-1030 | 2013-04-10 |
| 1003180548 | St. Vincent Medical Group, Inc. | Clinic/Center | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2012-03-01 |
| 1376816975 | St. Vincent Medical Group, Inc. | Clinic/Center | 301 Henry St, North Vernon, IN 47265-1030 | 2012-02-14 |
| 1801167960 | Karrie Lynn Reuter | Nurse Practitioner | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2012-01-21 |
| 1861783326 | Indiana Physician Management-jennings, LLC | Emergency Medicine | 301 Henry St, North Vernon, IN 47265 | 2011-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306492723 | Lariann Rumph | Pharmacist | 14 North State Street, North Vernon, IN 47265 | 2019-08-12 |
| 1649798307 | Activate Healthcare - Nvic Clinic | Clinic/Center | 3750 4th Street, North Vernon, IN 47265 | 2017-09-01 |
| 1104372333 | Wecare Tlc - Jcsc Health and Wellness Center | Clinic/Center | 1800 Commercial Dr, North Vernon, IN 47265 | 2016-08-28 |
| 1053715987 | Erika Duran | Pharmacist | 9 N State Street, North Vernon, IN 47265 | 2014-10-21 |
| 1053720946 | Melissa R Hunter Lmhc LLC | Counselor | 753 North State Street, Suite A, North Vernon, IN 47265 | 2014-08-05 |
| 1962731075 | North Vernon Fire Department | Ambulance | 2000 North Madison Ave, North Vernon, IN 47265 | 2009-12-18 |
| 1063544989 | Quinco Consulting Center Inc | Clinic/Center | 299 W Hayden Pike, North Vernon, IN 47265 | 2007-03-09 |
| 1972635894 | Quinco Consulting Center Inc | Clinic/Center | 601 N Henry Street, North Vernon, IN 47265 | 2007-03-09 |
| 1659406528 | Jennings County Auditor | Ambulance | 925 South State Street, North Vernon, IN 47265 | 2007-02-22 |
| 1780729822 | Southern Indiana Orthopedics | Durable Medical Equipment & Medical Supplies | 1810 North Commercial Drive, North Vernon, IN 47265 | 2007-02-20 |
| Find all providers in zip 47265 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1538719810 | Labcorp Indiana Inc | Clinical Medical Laboratory | 5340 Holy Cross Pkwy Ste 206, Mishawaka, IN 46545-1470 | 2019-09-18 |
| 1568012540 | Labcorp Indiana Inc | Clinical Medical Laboratory | 125 St Liam Hall, Notre Dame, IN 46556-5693 | 2019-09-12 |
| 1013567098 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1320 S Wisconsin St, Hobart, IN 46342-5502 | 2019-09-12 |
| 1609426667 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1506 Osolo Rd Ste A, Elkhart, IN 46514-4122 | 2019-09-12 |
| 1659921617 | Labcorp Indiana Inc | Clinical Medical Laboratory | 611 E Douglas Rd Ste 300, Mishawaka, IN 46545-1467 | 2019-09-12 |
| 1518516533 | Labcorp Indiana Inc | Clinical Medical Laboratory | 530 N Lafayette Blvd Fl 2, South Bend, IN 46601-1004 | 2019-09-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| Find all providers with the same taxonomy | ||||
| City | NORTH VERNON |
| Zip Code | 47265 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.